tci E/M Coding Alert - 2016 Issue 4

Reader Question: Remember, One Size Doesn't Fit All When Coding Physicals

Question: I work at a family practice that performs a lot of physicals for kids — for school, sports programs, etc. What is the best code to choose when a patient reports to the practice for a school or sports physical? Oregon Subscriber Answer: The E/M code you’ll choose will depend on the encounter type, the patient’s status with the practice and, in some cases, particular payer rules. CPT® 2016 doesn’t include codes to report a physical specifically for school or sports. In some cases, you can use an E/M code for these encounters. These aren&rsquo...

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